Active NPI
Evan Moeai
- Physical Therapist
- Saratoga Springs, UT
National Provider Identifier
1679210314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7898320-2401
- Practice address
- 62 E Thrive Dr
Saratoga Springs, UT 84045-5558 - Phone
- (801) 766-4244
- NPI assigned
- May 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7898320-2401 | UT | Primary |
Addresses
Primary practice location
62 E Thrive Dr
Saratoga Springs, UT 84045-5558
Mailing address
62 E Thrive Dr
Saratoga Springs, UT 84045-5558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7898320-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dry Creek Physical Therapy & Wellness PLLC | Physical Therapist | Current | Accepting new patients |
| Jensen Therapy Associates, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3300 N Running Creek Way
Ste B150
Lehi, UT 84043
Phone (801) 766-4244
564 W 700 S
Pleasant Grove, UT 84062
Phone 8017664244 ext. 401
62 E Thrive Dr
Ste 210
Saratoga Springs, UT 84045
Phone 8017664244 ext. 501
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Lehi, UT
- NPI 1124109921
-
- Physical Therapist
- Lehi, UT
- NPI 1871609099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1679210314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 E THRIVE DR",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 E THRIVE DR",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455558",
"telephone_number": "801-766-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEAI",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "7898320-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.